We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Surgical Pearls | AAFPRS Annual Fall Meeting Featured Article

Reconstruction of the Nasoseptal L-Strut in Rhinoplasty

David W. Kim, MD1; Natalie H. Attenello, MD2
[+] Author Affiliations
1Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology–Head and Neck Surgery, University of California, San Francisco
2Private Practice, Facial Plastic and Reconstructive Surgery, Los Angeles, California
JAMA Facial Plast Surg. 2015;17(6):457-458. doi:10.1001/jamafacial.2015.1522.
Text Size: A A A
Published online


This Surgical Pearl with video details the technique for reconstruction of the nasoseptal L-strut in rhinoplasty.

It is widely acknowledged that rhinoplasty is the one of the most difficult operations to perform. Margins are unforgiving, particularly in thin-skinned patients, because even the smallest of irregularities and asymmetries are prominently visible on a triangular pyramid that projects from the face. A smooth, symmetrical, well-proportioned surface contour is the ultimate aesthetic goal for rhinoplasty, and the multitude of available techniques are aimed to achieve this end. However, before the rhinoplasty surgeon can even begin to go to work to alter the osseous and cartilaginous structures that create this surface contour, he or she must establish a stable midline foundation on which the more superficial anatomical elements can be built. The L-strut septum functions as this foundation. The rhinoplasty surgeon must therefore be adept at modulation of the nasoseptal L-strut, including its reconstruction.

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.



Reconstruction of the Septal L-Strut in Rhinoplasty

Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles